Brazier, Kendra Nicole
Brazier, Kendra Nicole is an individual health care provider with primary practice located at 1595 S Calumet Rd Ste 3 , Chesterton IN 46304-2389. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brazier, Kendra Nicole can be contacted via phone (219) 764-2888.Contact Information
Primary practice address
1595 S Calumet Rd Ste 3
Chesterton IN 46304-2389
Phone: (219) 764-2888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Indiana |
Profile Details
| NPI number | 1710479449 |
|---|---|
| LBN Legal business name | Brazier, Kendra Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2018 |
| Last updated | May 30th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710479449 | NPPES |
| Indiana | MEDICAID | 200196020A |
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